Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform

Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform

by Amy S. Kelley
     
 

Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care; describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to

…  See more details below

Overview

Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care; describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsustainable spending and quality that is poor relative to international benchmarks. Yet this is also a critical time of opportunity. Because of its focus on quality of care, the Affordable Care Act is poised to expand access to palliative care services for the sickest, most vulnerable, and therefore most costly, 5% of patients- a small group who nonetheless drive about 50% of all healthcare spending. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis or stage of illness. The goal is to improve quality of life for both the patient and the family. Research has demonstrated palliative care’s positive impact on health care value. Patients (and family caregivers) receiving palliative care experience improved quality of life, better symptom management, lower rates of depression and anxiety, and improved survival. Because patient and family needs are met, crises are prevented, thereby directly reducing need for emergency department and hospital use and their associated costs. An epiphenomenon of better quality of care, the lower costs associated with palliative care have been observed in multiple studies.

Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform, a roadmap for effective policy and program design, brings together expert clinicians, researchers and policy leaders, who tackle key areas where real-world policy options to improve access to quality palliative care could have a substantial role in improving value.

Read More

Editorial Reviews

Doody's Review Service
Reviewer: Darrell A Owens, DNP (University of Washington Medicine)
Description: This introduction to palliative care describes current models of delivering palliative care across care settings and explores opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families, and healthcare institutions.
Purpose: Providing a platform on which to build the reform discussion, the book focuses on 16 key areas where palliative care could have a substantial role in reform and improvement, as well as real-world policy options to help accomplish these goals. Given the aging of the population, the current climate of healthcare reform, and the implementation of the Affordable Care Act, the objectives of the book are both critical and essential for an understanding of the potential impact of palliative care. Each chapter is thoughtful and thorough, providing clarity as it examines the issue.
Audience: It is written for a broad and sophisticated audience. It is a roadmap for policy and program design, and is therefore a useful resource for policymakers and healthcare administrators. The book, and specifically the first chapter, "When More is Less: Overuse of Medical Services," should be required reading for nurse practitioner and medical students. For seasoned clinicians, the book confirms the daily experience of caring for the elderly. The authors and editors are respected clinicians and academicians in their fields.
Features: Starting with the critical topic of overtreatment, every chapter in the book provides meaningful information and, depending on their role in healthcare (policy maker, academician, clinician), readers will likely have different favorite chapters. As a practicing nurse practitioner in both geriatrics and palliative care, I found the first chapter a refreshing acknowledgement of the challenges of overtreatment in the current model of caring for the elderly. Additional topics discussing disparities in access to palliative care, quality outcomes and measures, and models of care delivery and coordination are just several examples of the valuable information this book contains. For readers exploring possible solutions to managing an aging and frail population in their institutions, the book provides examples of models currently in place and notes their specific strengths and weaknesses. While there is some overlap of content between chapters, it is minimal and, for readers not familiar with palliative care, this does serve as a refresher.
Assessment: This is an exceptional book. Other books in the field examine palliative care and people with serious illness, but none do so in the context of policy, healthcare reform, and examination of possible solutions. This is an excellent resource and guidebook for those looking to improve palliative care in the future.
From the Publisher

From the book reviews:

“This introduction to palliative care describes current models of delivering palliative care across care settings and explores opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families, and healthcare institutions. … It is a roadmap for policy and program design, and is therefore a useful resource for policymakers and healthcare administrators. … This is an excellent resource and guidebook for those looking to improve palliative care in the future.” (Darrell A. Owens, Doody’s Book Reviews, September, 2014)

Read More

Product Details

ISBN-13:
9781493904068
Publisher:
Springer New York
Publication date:
09/30/2014
Series:
Aging Medicine Series
Edition description:
2014
Pages:
240
Sales rank:
898,895
Product dimensions:
6.10(w) x 9.25(h) x 0.02(d)

Meet the Author

Amy S. Kelley, MD MSHS
Icahn School of Medicine at Mount Sinai, Brookdale Department of Geriatrics and Palliative Medicine, New York, NY, USA

Diane E. Meier, MD
Director, Center to Advance Palliative Care, Professor and Vice-chair for Public Policy, Icahn School of Medicine at Mount Sinai, Brookdale Department of Geriatrics and Palliative Medicine, New York, NY, USA

Customer Reviews

Average Review:

Write a Review

and post it to your social network

     

Most Helpful Customer Reviews

See all customer reviews >